# DR PAMELA R MCCULLOUGH DDS PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245230374
- **Authorized official:** DR. PAMELA RAE MCCULLOUGH DDS (PRESIDENT)
- **Authorized official phone:** (316) 283-0870

## Contact information

- **Practice address:** 229 N MAIN ST, NEWTON, KS 67114-3442
- **Practice address phone:** (316) 283-0870
- **Practice address fax:** (316) 282-2500
- **Mailing address:** 229 N MAIN ST, NEWTON, KS 67114-3442
- **Mailing address phone:** (316) 283-0870
- **Mailing address fax:** (316) 282-2500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 6191 | KS | Yes |

## Other

- **Enumeration date:** 07/29/2005
- **Last updated:** 08/27/2013